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Three articles regarding the progressive integration of genetic and genomic information into nursing care and education were reviewed. All of the articles study the impact of these sciences when applied competently in nursing practice. Two of the articles perform in depth qualitative research focusing on hindering and facilitating factors of genetic/genomic integration into nursing through the establishment of standard nursing competencies. These articles employed surveys to groups of nurses through the International Society of Nurses in Genetics (ISONG). The first article, in particular, looks at specific cases submitted by nurses in which genomic science was effectively applied in nursing practice. These cases were organized into general areas of nursing care that may benefit from genetics integration into mainstream nursing. Another article performs an outcome evaluation of a genomics continuing education seminar for nurses. This was done by measuring knowledge before and after the education was received, in addition to eliciting reports from the participating nurses identifying changes in nursing practice three months after the conference.

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  1. 1. Review of Literature By Erin Joslin, RNNUR 429 – Utilizing Resources Fall 2012
  2. 2. Genetics, Genomics and Nursing ● Relatively new technology ● Various nursing applications ● Comprehensive patient careImage:
  3. 3. Genetics or Genomics?Genetics – study of the expression of individual genesGenomics – study of environmental and interdependent genetic factorsthat affect gene expression in individuals and genetically related groups Image:
  4. 4. Article #1: Genomic health care: is the future now?Areas of genomics applications for improved nursing1) More accurate diagnosis2) Earlier disease detection3) Targeted management4) Drugs and therapies5) Underlying causes of ill health6) Psychosocial effects Image: Kirk, Lea, & Skirton, (2008)
  5. 5. Article #2:Outcome evaluation: does continuing education make a difference?Effect of a 1-day continuing education psychiatric nursinggenomics conference● 119 participants● Pre-conference survey● Post-conference survey● Follow-up survey (3 months later)Measurable knowledge gain and increased application in nursingpracticeBell, Pestka, & Forsyth (2007)
  6. 6. Article #3: Genetic and genomic competencies and nursing regulation ● Small-scale international survey conducted among leaders of ISONG ● Nursing genetic/genomic competency ● Perspectives on progress ● Facilitators and barriers to reaching set competency goalsImage: Kirk, M., Calzone, K., Arimori, N., & Tonkin, E.
  7. 7. Limitations● Most information provided by nurses specializing in genetics● Lack of follow-up participation● Incomplete list of applicable areas for genomics in nursing● Qualitative data● Limited participant pool
  8. 8. Conclusion ● Establishment of minimum genetics competencies for nurses facilitates integration. ● Non-specialized nurses have become more willing to apply genetics/genomics knowledge to mainstream practice. ● Genetics/genomics education improves patient care in various fields of nursing.Image:
  9. 9. Finding the LiteratureA search was performed regardingthe integration of genetic andgenomic science into nursingeducation and practice.● CINAHL database● 5 year limit Image:● Peer review27 articles were selected forpreviewFive articles were selected for usein review of literature Image:
  10. 10. ReferencesBell, D., Pestka, E., & Forsyth, D. (2007). Outcome evaluation: does continuing education make a difference?. Journal Of Continuing Education In Nursing, 38(4), 185-190.Greco, K., & Salveson, C. (2009). Identifying genetics and genomics nursing competencies common among published recommendations. Journal Of Nursing Education, 48(10), 557- 565. doi:10.3928/01484834-20090716-02Kirk, M., Lea, D., & Skirton, H. (2008). Genomic health care: is the future now?. Nursing & Health Sciences, 10(2), 85-92.Kirk, M., Calzone, K., Arimori, N., & Tonkin, E. (2011). Genetics-Genomics Competencies and Nursing Regulation. Journal Of Nursing Scholarship, 43(2), 107-116. doi:10.1111/j.1547- 5069.2011.01388.xTrossman, S. (2009). A perfect match. Nurses take on genetics, genomics -- and make a difference. American Nurse, 41(5), 1.